A Texas nurse recently learned that you don't have to identify a patient by name to violate Health Insurance Portability and Accountability Act (HIPAA) rules. According to a number of published reports, the unidentified woman, who worked as an ICU/ER nurse, was fired from her job with Texas Children's Hospital in Houston after posting about a boy who was being treated for a suspected case of the measles. The nurse, an anti-vaccine proponent, posted about her experience treating the child, whom she identified only as between the age of 1 and 3 years old, on a Facebook site called "Proud Parents of Unvaccinated Children - Texas." The hospital became aware of her post when another Facebook user notified them.